Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $2,454.96 / $7,510.50	Facility		$850.00	$2,454.96	$7,510.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,303.90 / $5,508.00 / $12,595.88	Facility	50	$5,303.90	$5,508.00	$12,595.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.05 / $512.55 / $1,478.99	Professional		$440.05	$512.55	$1,478.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $429.51 / $589.99 / $1,179.98	Professional		$429.51	$589.99	$1,179.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.37 / $1,790.37 / $1,790.37	Facility		$1,790.37	$1,790.37	$1,790.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $880.00 / $1,721.51	Professional		$880.00	$880.00	$1,721.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.00 / $1,525.25 / $4,652.38	Facility		$726.00	$1,525.25	$4,652.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.65 / $787.37 / $1,049.27	Professional		$495.65	$787.37	$1,049.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $2,637.00 / $7,885.00	Facility		$860.00	$2,637.00	$7,885.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.15 / $618.65 / $1,325.08	Professional		$458.15	$618.65	$1,325.08